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Home My WebLink AboutEXTERIOR PRODUCTS, INC. 3D-2016tl \sURAWE ON FILL" vuOM MAY PROCEED UNTIL INSURANCE EXPIRES _ of,3 / CLERK Of COUNCIL 2pt� OATS: C, A (l-) THIRD AMENDMENT TO AGRLEMENT (./j" "" THIS THIRD AMENDMHNT TO AGREEMENT is entered into this 25111 day of N -2015- 042 -002 February 2016, by and between Exterior Products, Inc,, a California corporation (hereinafter "Contractor "), and the City of Santa Ana, a charter city and municipal corporation (hereinafter -City-), RECITALS: A. The parties entered into an Agreement dated 3anuaxy 1, 2013 (`Agreement for installation, Removal and Storage of Flags'" #N2013.003) hereinafter "said Agreement ", by which City has the ability to purchase new flags from Contractor, and Contractor has provided the labor, manpower and machinery to install, roniove and stole American flags for the City. I3, 'rho parties entered the "Amendment to Agreement" #N2013 -003 -001 on December 30, 2013, to extend the, Term and increase the Compensation for such extended term, C. The parties entered the "Second Amendment to Agreement" WN2015 -042 on December 31, 2014, to extend the Team and increase the Compensation for such extended term. D. In accordance with the terms and conditions of said Agreement, the parties again wish to extend the Term of said Agreement and increase the Compensation. WHIMEFOREP, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this Thad Amendment: to Agreement, the parties agree as follows: 1. Section 2, "Compensation ", shall be amended to add additional funds ofl:ive Thousand Dollars ($5,000,00) for the extended Tema, 2. Section 3, "Ter u ", shall be amended to extend the Term through December 31, 2016, 3. Except as hereinabove modified, the terms and conditions of said Agreement remain Lmchauged and in full force and of fee t. IN WITNESS WHERI'OF, the parties hereto have executed this Third .A.meadment to Agreement on the date and year first written above. ATTEST: A, D MARIA D. I -1 JIZAR Clerk of the Council APPROVED AS TO FORM: SOMA R. CARVATBO City Attorney I, si F.. Storchc Assistant City Attorney CITY OF SANTA ANA DAVU)CKVAZOS City Manager CONTRACTOR Eric Peterson Principal Fax: (714)647-6649 �ce�erc�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYY\T 0 812 7/2 0 1 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate hostler is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such ondorsement(s). PRODUCER Philip B. Robinson Insurance 23185 La Cadena Drive, Suite 101 Laguna Hills, CA 92663 CONTA T Phil Sieger PHONE AX (949)474-9300 AI 1C. NOl (949)474.6991 LAID, No. Exti- EDpRIE phils @phrinsurance.com -- — — License #: OB39032 INSUP I$] AFFORDING COVERAGE NAICM INSURERA, West AnnerIgaii Insuranco Company '- 4439 INSURED EXTERIOR PRODUCTS CORPORATION INSURERS: grl a e Br Casualty Company?' 24066 INSURERC, „.,State Compensation Insurance Fund 'I == EP MANAGEMENT, INC 1031 N Shepard St Anaheim, CA 92806 INSURERD; NsuRERE:, $ 600 000 MED EXP (Anyone Person) It 15,000 INSURER F: $ 1.000.000 COVERAGES CERTIFICATE NUMBERS nnonndn2.Raas2a an THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDLSUBR Administrative Services Division m -25 POLICY NUMBER POLICYEFF MIDDIYYYY I POLICY EXP HIMIDDIYYYY) LIMITS A GENERALLIARILITr y BKW66480133 04/2312016 0412312016 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS - MADE ® OCCUR DAMXUETiSRF.RT€D- E nca $ 600 000 MED EXP (Anyone Person) It 15,000 PERSONAL &ADV INJURY $ 1.000.000 _ , GENERALAGGREGATE I$ 200 -00-0 - GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO- X LOC PRODUCTS - COMP /OP AGO $ 2,000,000 a AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E3aoddsm ..I BODILY INJURY(Perpemon) $ ANY AUTO ALLOVJNEO SCHEDULED AUTOS AUppTO6 BODILY INJURY(PereoGdam) ^— $ HIRED AUTOS AUTOSWNED PROPERTY DAMAGE _(P.r.mi,lenl $ �— $ B UMBRELLA LIAR X OCCUR Y ESA614110133 04/23/2015 04/23/2016 EACH OCCURRENCE $ 2Z,000,000 X EXCESS MAD CLAIMS-MADE AGGREGATE S 2,000,000 DED I I RETENTION$ $ - G+ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROMEMBER/PARTNDED? CUTIVE OFFICER ty le N) EXCLUDED? Ey ify.,dsurk and DESCRIPTION OFF DESCRIPTION OF OPERATIONS below N I A Y 9130386.15 06/01/2016 06101/2016 - X wO SrAru- O7H- E.L. EACH ACCIDENT $ 1,000000 E.L. DISEASE -EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT S 1000-000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attack ACORD 101, AddRlonal Remarks S011e4uie,. if mom space is required) Exterior Decorating *30 Day notice of cancellation except 10 day for nonpayment of premium The City of Santa Ana, Southern California Edison, and their respective officers, employees, agents, volunteers and representatives are named as additional insureds with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. This insurance is primary and Is not additional to or contributing with any other insurance by or for the benefit of the additional insureds. CER11FICA I E HULuEH CA urcl I ATInkl The City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Community Development A BnC tY Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Administrative Services Division m -25 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 7 F POS O 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD Printed by PDS on May 27, 2916 at 01:30PM ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company _West American Insurance Company. This endorsement modifies such insurance as is afforded by the provisions of Policy # BKW56480133 relating to the following; 1. The City of Santa Ana, Southern California Edison, and their respective officers, employees, agents, volunteers and representatives are named as additional insureds ( "additional insureds ") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured, 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insuued against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 04/23/2015_ of Policy # BKW56480133 Issued to Exterior Products ( Named Insured this endorsement form as a part Countersigned by Ailthorized Represe tative_. - r,ATa iMMJna7YVYYi' CERTIFICATE OF LIABILITY INSURANCE THIS O.t"FleAt IS ISSUEO AS A MATTER ' OF INFORMATION ONLY AND CORPS ft. NO RIGHTS UPON THE CERTIFICATE, 1101.09m THIS CERTIFICATE I)M NOT AFFIRMATIVELY OR NeGATNELY AMEND, EXTEND OR ALTER THE.- OOVERAGE AFFORDED: -EY TO V61.1OIES SELOW, TH16 CERTIFICATE OF 'INSURANCE DOES NOT CONSTITUTE A CONTRACT @ETWEEN THE ISSUING' dNStJRETt {SI= AU'1'Y {dR12EO RNNROBENTAVV15 OR PRODUCER, AND THt3 CERTTPICATE HOLDER. IMPORTANT: If the certificate holdvitile an ADDIVONAL iNSUREDY the po8cy(taaj most -tia endorsed, if, SUAROGATiON S WAIVW, aubleeitfo the forms and coRdltimes of the policy, certain Policies may mgvire an andomanrant, .A statement an this aaatiflooto doers not confor fights to the cti s lk Fo lli a sf anah h ucen B POT Oi 3Nmmand' togas lnapra?caAgency a PpI(aa 4"hlrp Rz NGN9antr.t719j&9D.8Z62.:...AM dsA.:(T9 #)UGI873 dq1 SKracmerSlud Sip 218 AAp sa,.. sTSOaashlta al wtata cRm. , .,,, m Motions, CA 4ZO70 Naoh2alsnPraJ ply wf oa t glee Ll ban so, e000201.8 INSUaeb extorlor Praduota Corporation _Sf..L... -- ---- .............. ." 1031 NShepard $t .!l.1NVrr"aR O.L. ._._.____ . . ..... ... ......... . .. ___..�.. r...., ,.,. ,,.,.... Anaheim, OA 0280E IOURERRi COVERAGES GERTINGAT NUNISER: # BVISItii :NUMt3ER THPrs IS 7t! CERTCFY THAT THE PgLIClE5 F INSiFRANCB L19TED SF�LCW HAVE SEEN ISSUED T{i THE INSURED NAMED AtIOVE POA THE POMY'PERIOq INdtcAYEO, NOTWITtRb�TANDINtB ANY RE4UiRE'MS�NT, T6.RM qR OONDITION CIF ANY O4NTRACT OR C7HSR tlgOUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISS,UED Ct1R M/nY AERTAiN'. 9'IfE INSLk#RAN'CE �Ah"FbRG1 @D SY TWE PDLIOIES C5S8'GR1EtED HEREIN IS Sti6JECi To All THE TERM6, EXCLW$IONSAND OkSNOITYCNS.C+'F IDirt•iaCrLIC1E8. LIMITS SHQaWhi MAW HAVE SEEN REDUL 'Et?E_Y.PAID- CI:AfM5. - ..._,.�..�.,...w.W,L rIM pEa9RlpngN[JE OPeP1RTi6Nei 40F.ATlirika lYaMltdL&9, (�ktC99M.AGOfte 194;RtlaIt1915S1 R9RrAfVt6 eclmdUl9Ir @91W apLLg9laoogllltudl'. P-xwpr Docoragrig - - 30 day notice ofsaneoliatleti" plea 10 day. for nonpsyment of premium The City' of Santa Ana, Its cf0aom, employees, events, yown eers,:gild faRmaonfelaos am flamed as additional mhji ao. The ineWrenos le prlmsy ontE any'othsr. . Insurance maintained by file City of Santa Ana sheil be excess and non "een#rlbWlpiy. - - - - The City of Santa Ana; Community Development Agency SHOULD ANY OF THE A00Ve OPSCRISM POLICISS BE CANOOLLSO SEFOR4 THE exrouti viom OATS THEREOF, NOTICE WILL 'E0 DELIVERED IN AdmitN aldhia'SnrdPcaa Division M46 AC.CORbARMWITH Tiffit P.ICY PROVISIONS 20 Civia enter Plaza —AU rhoni nap sE+rn Same Ana, CA 02761 dNtp ..�.„..,.....,., 01004010 ACORD CORPORATION, ....11 rnservotf: ACORD 26 (2010 36) The ACORO name and logo are registered marks of ACORD 112. �cctMnERCIMt.DENGnM. LraSILrrY t �^ - Lagap'iiMR9nw) e .6aM1,5Fa - r CLAMS -MA154 - OCCUR haED Ekp ( , aup�sanx 4B i_ a h d � IPan;RphIAL &hDY11JJWRY .�I . t �'9 ,...,« ' LAT3WAa E WI'TAww;Mss 6Ek,. 4 � � � ., �pRpIDlICT8 4CAM @fop AR'rG,d9 p Y;. gyp. 1 'LOC ,3 'AUTI?41'p01LEC1haCtYYY I ;. - M if AN1'AWTO EMILY INJURY (Par RdrbQm . $ - r : n4PL,QWNFC/ I..'!r...l. 6CMfPPS7L1I.E6 __....: -.. - .. A S A� P'p6 a - SOOILY lN,A1RY fpar�rraM9aq' N LrTQ A " 1 MDN ONMED gAf23/2D18' f�iiFCR"F1��ISk�N3,tl@ t»1 ."" .... �'.. 8#'81' 1A 8 Q4d23d2P18 - MIR@17<5UTO6 AW7D5 ..... . ...,.. U WMaaaLLA NAa OCCUR�I ?. Ca SAF"iH 4"Pi',URRi.NCE �$ aI `del• .. ... .. ...... . ,........., ,,.....,,." "etihHOC l:etl ........... ..I .. I. I {WQ,i M ...m.. rIM pEa9RlpngN[JE OPeP1RTi6Nei 40F.ATlirika lYaMltdL&9, (�ktC99M.AGOfte 194;RtlaIt1915S1 R9RrAfVt6 eclmdUl9Ir @91W apLLg9laoogllltudl'. P-xwpr Docoragrig - - 30 day notice ofsaneoliatleti" plea 10 day. for nonpsyment of premium The City' of Santa Ana, Its cf0aom, employees, events, yown eers,:gild faRmaonfelaos am flamed as additional mhji ao. The ineWrenos le prlmsy ontE any'othsr. . Insurance maintained by file City of Santa Ana sheil be excess and non "een#rlbWlpiy. - - - - The City of Santa Ana; Community Development Agency SHOULD ANY OF THE A00Ve OPSCRISM POLICISS BE CANOOLLSO SEFOR4 THE exrouti viom OATS THEREOF, NOTICE WILL 'E0 DELIVERED IN AdmitN aldhia'SnrdPcaa Division M46 AC.CORbARMWITH Tiffit P.ICY PROVISIONS 20 Civia enter Plaza —AU rhoni nap sE+rn Same Ana, CA 02761 dNtp ..�.„..,.....,., 01004010 ACORD CORPORATION, ....11 rnservotf: ACORD 26 (2010 36) The ACORO name and logo are registered marks of ACORD 112. POLICY NUMBhR: 648161463 COMMERCIAL AUTO CA 24) 49 0199 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM whh respookwooverav* provide aby this ondatsDiriont, the provisions of the Coverage -rortn apply unless mcdifltd by thia andoreato eat, This endargemwit identifies poroan(s) or organizatioft(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form, This endorsement chargos the policy offoetiv• on the inception date of the pohoy unless soother date 6 indicated below, M&M-MM Name of Parson(s) or Otgarilzathm(s): TEE CITY OF SANTA ANA COMMUNITY MELOPMENT AGENCY IMINUTRATIVE SERVICES DIVISION M-25 20 CIVIC CEXTER P149 SANTA ANA, CA USA 92701,4058 (if no entry appears above, inforin4tioaroquired to complete this endomment will be &hownin the Doolarations as ipplicable to the Qndorsoinem.) Each - person or the 5'chedulo,13on "insured" for Liability Coverap,btit only to the extent as an "insured!' uxidor the W.Tio Is An Uikuxedftoaqidon Gontahais'd i,48-ialtw It of the Coverage Form CA ZO 48 02 99 Copyright, Insurance SDrvicoq Office, Inc, IWS Page I of 1 0 �) -1-0 15 - DIf Z -rte Fax: (714)647-6549 ACi7ROe CERTIFICATE OF LIABILITY INSURANCE Lm DATE(MMMONYYY) 04/18/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS U PON THE CERTIFICATE HOLDER. THIS POLICIES CERTIFICATE F IN DOES T=JRSJIF) BELOW. THIS CERTIFICATE O INSURANCE NOT CONSTITUTE A CONTRACT tA RISAUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. COMMERCIALGENERALLIABIIJTY CLAIMS -MADE a OCCUR IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ios) mus a ec li SUB OGAP IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsementt., to g it 'ritYef4461" fica`te does t not confer rights to the certificate holder in lieu of such endomement(s). I f { )1 (�: t- (, r r _, -1 0412312017 PRODUCER Philip B. Robinson insurance C NAM NTA : Phil Sieger $ 600 000 PHGNE (949j474-9300 FA% A/c No: 849 474.8991 23185 La Cadena Delve, Suite 101 E-MAIL E Phlls @pbdnsurance.com Laguna Hills, CA 92653 License #: OB39032 INSURERS AFFORDING COVERAGE $ 1000000 NAIL C INSURER A West American Insurance Company 4074 INSURED EXTERIOR PRODUCTS CORPORATION INSURERBI American Fin, 8r Casualty CounpanV GENERALAGGREGATE 4066 INSURERC: National Liability 8, Fire Insurance Co EP MANAGEMENT, INC '.. 1031 N Shepard St INSURER D: $ OTHER:. Anaheim, CA 92806 INSURE E: MOBI LE LIABILITY INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000- 1444180 REVISION NUMBER: 16 THIS ISTO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Lm TYPE OF INSURANCE POLICY NUMBER POLIC EFF POLICY EXP MwOD LIMITS A X COMMERCIALGENERALLIABIIJTY CLAIMS -MADE a OCCUR Y BKOSS480133 0412312016 0412312017 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED PREMISE $ 600 000 �e MED EXP(Any one ereon) $ 16,000 PERSONAL BADV INJURY $ 1000000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT 7 LOU GENERALAGGREGATE S 2,000,000 GENT '.. PRODUCTS - COMP /OP AGG $ 2.000.000 $ OTHER:. MOBI LE LIABILITY CO BINEO SINGLE LIMIT Ea aaddenf $ BODILY INJURY(Per parson) S RAU NY AUTO LL OED SCHEDULED TOAUTOS IREDAUTOS ANUOT" WNED q BODILY INJURY(Per aeddenl) $ PROPERTY DAMAGE Per wide $ $ 1 1 B UMBRELLA UAB EXCES541Ae X OCCUR CLAIM$MAOE Y ESA66480133 - 04/2312016 0412312017 EACH OCCURRENCE $ 2000,000 AGGREGATE $ 2,00-0,000- DED RETENTION$ $ C AND AND EMPLfIYERS'LRTfJtt YIN ANYQERJMEETORIPARTNDEDI CUTIVE OFFICERIMEMBER EXCLUDED9 � IMandatoryln NH) USadeacdbeonder RI TIONO OPERATIONS EeIOw NIA Y V9WC730724 0510112016 05/0112017 X SPRITE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE E.$ 1,000,000 111- POUCYLIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES iACORD 101, Addlflowl RemarKe Sahadaie, may be aeaahed If more space is Mgplredi Exterior Decorating *30 Day notice of cancellation except 10 day for nonpayment of premium The City of Santa Ana, Southern California Edison, and their respective officers, employees, agents, volunteers and representatives are named as additional Insureds with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named Insured. This Insurance is primary and is not additional to or contributing with any other insurance by or for the benefit of the additional insureds. The City of Santa Ana Community Development Agency Administrative Services Division m -26 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, REPRESENTATIVE TION. All rlahts AGUKU 25 (2014101) The ACORD name and logo are registered marks of ACORD Printed by PDS on Ap '148. 2016 at 12:03PM �j — ZO ( .fir D Lf Z —`:'o 'L— ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company lmyafi�w4e (20/r A�wey This endorsement modifies such insurance as is afforded by the provisions of Policy # Deli g'0 1.73 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds ") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage, or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy #. Issued to this endorsement form as a part of Countersigned by - -_ Authorized Representative CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFiCATIE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFCRS NO RIGHTS UPON THE CER"NFIC, CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL, INSURED, the poltoypoap mint ber endorsed, If $DEROGATION IS WP terms, and conditions of the policy, curtain policies may require an endorsonimn. A statement an this certificate does not Brunot and Lopez Insurance Agency 10f S Kraemer Blvd, Ste 218 Placentia, CA 92870 License #00O2010 INSURES —� —M Exterior Products Owpore0an 1631 N Shepard Street Anaheim, CA 92806 MAY (HNERALUMN,M 1 ICOMM& R0JAL 05rt eRj"A'4'"L1"VTY CLAIMS.M Is 1:1 OCCUR sT Y If 5 648161463 1 04A23i2O16 OR OTHER O t6 DESCRIBED PAIDOLAIMS. MFH REBPEOT TO SUBJECT TO ALL S R to OESG�PIIWN OI'OPIB+NiIpM@l6OCA'11eNar V66MCLEa (AtGkft ACdna 9pi, AAdliipnpt RYCnnYkB eYiCdU1P, i11nWffi Rfn4t4l8 fegUlrelRi Exterior Dkcomeng 30 day matte of 01081latiOn except 10 day for nonpayment of ptelalum The City of Santa Ana, Its whoera, employees, agents. volunteers, and representativea are named as additional lattured. This insurance is primary and any insurance maintained by the City of Santa Ana shall be excess and nomcontf outery. The City of Santa Ana; Community Developments Agency Administrative Services D y nan M•25 20 Civic Center Fie Santa Ana, CA 92701 ACORD 25 (2010109) The ACORD name and logo are relilstored marks of ACORD _ My A;Jyo ALL OMMR) £CHEOULEO A Area X adrue I someNNEU HIRWAUrCS WOMIUAUAO I.,..,_ COCL3a ax%a$a1.,Aa CI.:, AA 5 648161463 1 04A23i2O16 OR OTHER O t6 DESCRIBED PAIDOLAIMS. MFH REBPEOT TO SUBJECT TO ALL S R to OESG�PIIWN OI'OPIB+NiIpM@l6OCA'11eNar V66MCLEa (AtGkft ACdna 9pi, AAdliipnpt RYCnnYkB eYiCdU1P, i11nWffi Rfn4t4l8 fegUlrelRi Exterior Dkcomeng 30 day matte of 01081latiOn except 10 day for nonpayment of ptelalum The City of Santa Ana, Its whoera, employees, agents. volunteers, and representativea are named as additional lattured. This insurance is primary and any insurance maintained by the City of Santa Ana shall be excess and nomcontf outery. The City of Santa Ana; Community Developments Agency Administrative Services D y nan M•25 20 Civic Center Fie Santa Ana, CA 92701 ACORD 25 (2010109) The ACORD name and logo are relilstored marks of ACORD _ N- 10 l 5- o q Z ---� ? Z Fax: (714)647-6649 acc�Ra CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDA'YYY) TYPEOFINSURANCE !1812016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANTt It the certificate holder Is an ADDITIONAL INSURED, the policy(loo) must be endorsed. If SUBROGATION 1$ WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A Statement on this certificate does not confor rights to the certificate holder in gas of such endoraemen s . PRODUCER Philip B. Robinson Insurance 23186 La Cadena Drive, Suite 101 Laguna Hills, CA 92663 CONTACT phll $iegsr _ PHONE PnX sgs a7a•esai 9e0474-9300 E-MAIL ll �..- --Phi. ...gipbrinsurance.com ._— ........--- _....,_....___ .__.._,. INSURERISLAFFORDINO COVERAGE NAICC License #:0839032 8KO66480133 NSU A: a INSURED EXTERIOR PRODUCTS CORPORATION EP MANAGEMENT, INC INSURER :,mericaLr Fir@ $Casualty Cam DanV $ 1,000,000 N e: do 'a it aura 3 600,000 INSURER D: 1031 N Shepard St Anaheim, CA 92806 F MCOEXP An and red RCV1OJVN NVMWftK: 16 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, MABE ISSUED NOTWITHSTANDING MYRE R A N, THE NSUR NCE CONDITION RF R05D B THE ONTRACT OR OTHER DOCUMENT WITH RESPECT70 WHICH THIS EXCLUSIONS MAY OISSUEDORMAYPERTAIN, THEINSURANCEAFFORDED B THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I I VN TYPEOFINSURANCE SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 P U NUM Pp 6Y PF PPOLI YaX UMIt6 ,A COMMERCWLOENaRALDAHRITY CLAIMSMaDE ®OCCUR Y 8KO66480133 04123/2010 0412312017 EACHOCCURRENCE $ 1,000,000 VA- 3 600,000 & 15 000 MCOEXP An and red - PERSONAL &ADVINJURY a 1000004 GERLAGGREGATE UMITAPPLIES PER: POLICY F7 28F ® LOC OTHER: GENERAL AGGREGATE _._...� $ 2,000,000 PRODUCTS- CAMP /OP AGG $ 2 QQQ QQQ $ AUTOMOBILELMOILITY BI 3 L LI I $ NYAUT LLOWD SChIEOULED UTOS AUTOS IREDAUTCE AUTCIS BODILY INJURY (Par psrednl $ BODILY I NJURY(Pdrnctldam) PROPEIRaT n DAMAGLAUAH J5N01 UAe �( OCCUk DLAIM3•MADE Y NIA Y ESA66480133 V9WC730724 oa12312o1s 06/0112016 natz3t2o17 05/01/2017 EACNOCCURRENCE g 2,000,QQQ AGGREGATE. S 2 QQQ 000 R NTIONS RSCOMPENSATiON PLOYER$' LIASIUTY YIN OPPICERM,EMSEREXCLUOED ECUTNE rV7 (Mandatory In NHk Il yyes, dadcnbaundnr DE CRI TIO OFOPERATI 96eiax X T E.LEACHACC @ENT g 1110-00-1000 E;4 DISEASE •HA EMPLOYE $ 1000000 E.LDI&EASE•POUCYLIMIT $ 1,000,000 OESCRIPRON OF OPERATIONSILOCATIONS /VEHICLES (ACOR0101, gddlaanal Remarks SahadWe,mry be adaandtl it more epaae in requlmdl Exterior Decorating'3g Day notices of cancella0on except 10 day for nonpayment of premium The City of.9anta Ana, Southern OBlitomia Edison, and their respective officers, employeae, agents, volunteers and repmaenWtives are named as additional Insureds with regard to (lability and defense of suits arising from the operations and uses Cr nur by or on behalf of the named insured. This insurance is primary and is not additio any other Insurance by or for the benefit of to or contributing with at the additional insureds. P912TIPIPATC unl Me. @ 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo am registered marks of ACORD Printed by PUS on Ap'146, 2018 at 12 :03PM I I VN The City Of Santa Ana Community Development Agency tY f 9 y Administrative Services Division m•26 SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE PD3 @ 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo am registered marks of ACORD Printed by PUS on Ap'146, 2018 at 12 :03PM